Abstract

A flap is indicated to cover any exposed vital structures such as bones, joints, tendons, or hardware. In the leg, various flaps can be designed to cover such defects which can be divided mainly into local and free flaps. Local flaps can further be subdivided into a random pattern or axial pattern flaps. Pedicled hemisoleus muscle flap is one example of an axial pattern local flap that is commonly used to cover a defect that is located at the middle third of leg. We describe a case of exposed middle one third of tibia following wide local excision of a low grade malignant peripheral nerve sheath tumour. He was successfully treated with pedicled hemisoleus flap and split thickness skin graft.